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General NPI Number Information
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NPI Number | 1700057700
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Entity Type | Organization
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Legal Business Name | SLEEP COLORADO AURORA CAMPUS
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 14991 E. HAMPDEN AVE SUITE 120
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City | AURORA
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State | CO
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Zip | 80014-3983
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Country | US
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Telephone | 303-395-5548
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 SIERRA DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-4033
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Country | US
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Telephone | 719-492-4574
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA D CAST
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Credential |
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Telephone | 719-492-4574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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